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73993

Rapid Arch Expansion in Cleft Lip and Palate Children: Comparison Between Fan-Shaped Expander and Hyrax-Type Expander by Using Cone Beam Computed Tomography

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Last updated: 22 Jan 2023

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Abstract

Purpose: The aim of the current study was to evaluate the skeletal and dentoalveolar effects of rapid palatal expansion (RPE) in children with cleft lip and palate (CLP), ages 8 to 12 years  treated with 2 expanders. Methods: Twenty Egyptian children with complete bilateral CLP exhibiting maxillary transverse deficiency were divided randomly into 2 groups according to the appliance used for expansion: (A) fan expander group. (B) hyrax expander group. Cone-beam computed tomography (CBCT) images were taken before and immediately after expansion procedure. Results: There was non-significant vertical movement of the maxilla for the 2 groups. On the transverse plane, there was more anterior expansion and posterior restriction for the fan group. However, the hyrax group showed significant posterior as well as anterior expansion. Both groups showed significant tipping between both sides posteriorly and anteriorly. Mandibular expansion was non-significant. Conclusion: Fan expander showed better results for children with cleft palate requiring anterior expansion only. Hyrax expander is better used for cases seeking for posterior and anterior expansion. 

DOI

10.21608/edj.2019.73993

Authors

First Name

Ahmed

Last Name

Sebaey

MiddleName

M. M.

Affiliation

Faculty of Dental Medicine, Al-Azhar University (Assiut Branch), Dentist at Egypt Ministry of Health

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Orcid

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First Name

Samy

Last Name

El-Bayomy

MiddleName

Youssef

Affiliation

Professor and Head, Department of Pedodontics and Dental Public Health Faculty of Dental Medicine, Boys, Cairo, Al-Azhar University

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City

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Orcid

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First Name

Youssef

Last Name

Abo Khalefa

MiddleName

Hamed

Affiliation

Lecturer, Department of Pedodontics and Dental Public Health Faculty of Dental Medicine, Boys, Cairo, Al-Azhar University

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City

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Orcid

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First Name

Noha

Last Name

Abdel-Rahman

MiddleName

Ibrahim

Affiliation

Lecturer, Department of Orthodontics, Faculty of Dentistry, Ain Shams University

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City

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Orcid

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Volume

65

Article Issue

Issue 4 - October (Orthodontics, Pediatric & Preventive Dentistry)

Related Issue

10702

Issue Date

2019-10-01

Receive Date

2020-02-26

Publish Date

2019-10-01

Page Start

3,159

Page End

3,167

Print ISSN

0070-9484

Online ISSN

2090-2360

Link

https://edj.journals.ekb.eg/article_73993.html

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https://edj.journals.ekb.eg/service?article_code=73993

Order

11

Type

Original Article

Type Code

254

Publication Type

Journal

Publication Title

Egyptian Dental Journal

Publication Link

https://edj.journals.ekb.eg/

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Article

Created At

22 Jan 2023